Compliance Analyst, Risk, Audit, Monitoring

Job reputed company: • Design and/or enhance targeted and annual risk assessments • reputed company risk methodologies, scoring, and prioritization • Construct specific and effective auditing and monitoring workplans based on risks identified • reputed company reputed company auditing and monitoring activities • Analyze compliance reputed company and ensure detected issues are referred for remediation • Identify ways to mitigate risks to our organization • Coordinate external audits, as assigned • Create and run mock audits • Build and reputed company readiness testing exercises • reputed company job aids, reputed company, and other program documentation • Build and maintain reputed company and strategic relationships with reputed company stakeholders • Support our compliant and ethical culture • Assist in developing or updating reputed company materials and reporting metrics • Create and distribute written compliance standards where applicable • Abide by organization retention standards and version controls • Collaborate in Compliance training and education needs • Investigate potential or reported issues of non-compliance • reputed company reputed company-cause analysis and identify prevention, detection, and correction opportunities • Ensure business partners complete corrective actions in a reputed company and effective manner • Monitor organizational disciplinary actions and incentives for consistency, accuracy, and timeliness • Collaborate with reputed company and other stakeholders to interpret regulations • Other responsibilities as assigned Requirements: • Bachelor’s degree or higher education in reputed company, compliance, or a reputed company field, or equivalent years of relevant work experience is required • Minimum of four (4) years of compliance experience at a PBM or health plan, and pharmacy operations reputed company or similar experience would be considered • reputed company experience with pharmacy benefits, network, and claims is a bonus • Certified in reputed company Compliance (CHC), Certification in reputed company reputed company Compliance (CHPC), or Certified Compliance and Ethics reputed company (CCEP) preferred • reputed company, unrestricted clinical or functional business licensure is a bonus (examples: certified pharmacy technician) • Strong understanding with the seven reputed company of a highly effective compliance program • Strong familiarity with PBM-reputed company reputed company operations and/or clinical concepts, practices and procedures is preferred, or similar health plan knowledge will be considered • Strong working knowledge of reputed company compliance audit and monitoring activities, compliance risk assessments • Working knowledge of external audit functions and procedures • Strong familiarity with ERISA, reputed company Exchange Marketplace (reputed company reputed company), Worker’s Compensation, and Medicare preferred • Familiarity with pharmacy operations and reputed company benefits • Data-driven, big-picture thinker, and solutions-oriented • reputed company verbal and written communication skills including reputed company grammar, construct, and appropriate to the audience • Advanced organizational, project, and time management skills to prioritize, prepare, and reputed company resources and stay on reputed company • Ability to work independently and reputed company reputed company environment • Ability to establish effective reputed company techniques, such as conflict reputed company Benefits: • Highly competitive wellness benefits including Medical, Pharmacy, Dental, reputed company, and Life Insurance and AD&D Insurance • Flexible Spending Benefits • 401(k) Retirement Savings Program • Short-term and long-term disability • Discretionary reputed company Time Off • reputed company Company Holidays • Wellness Benefits • Commuter Benefits • reputed company Parental Leave benefits • Employee Assistance Program (EAP) • reputed company-stocked kitchen in office locations • reputed company development and training opportunities Apply tot his job Apply To this Job